At the first day of the J.P. Morgan Healthcare Conference, “[T]he answer to the ultimate question of life, the universe and everything is 42.” Recognize that famous line? No, it’s not something from ChatGPT, it’s Douglas...more
1/9/2024
/ Artificial Intelligence ,
Chronic Care Managment (CCM) ,
Healthcare ,
Life Sciences ,
Machine Learning ,
Medicaid ,
Medical Devices ,
Medicare ,
Pharmaceutical Industry ,
Popular ,
Technology
At HLTH 2023, we saw a focus on certain themes, including the shift in investments and M&A activity, hospital and health system innovation and transformation, the implementation of AI, and healthcare management. Below are our...more
10/19/2023
/ Acquisitions ,
Artificial Intelligence ,
Healthcare ,
Healthcare Reform ,
Innovative Technology ,
Investment ,
Investors ,
Life Sciences ,
Medicare ,
Mergers ,
Technology
I was struck on the first day of the 41st Annual J.P. Morgan Healthcare Conference by Sanjay Doddamani (CEO of UpStream Healthcare) saying that “Health is a state of independence.” A simple statement, but a very profound and...more
1/10/2023
/ ACOs ,
EBITDA ,
Health Care Providers ,
Hospitals ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Patients ,
Pharmaceutical Industry ,
Popular ,
Value-Based Care
The phrase “whole person health” kept echoing through the virtual hallways during the second day of the 40th Annual J.P. Morgan Healthcare Conference. Looking at the whole person – not just separate organs or body systems –...more
It’s Day 2 of the J.P. Morgan Annual Healthcare Conference at its finest – looking closely at healthcare inequities, strategic business shifts and killer robots, all in the same day! (Yes, we did say killer robots and it’s...more
1/13/2021
/ Anti-Discrimination Policies ,
Coronavirus/COVID-19 ,
Diversity ,
Equity ,
Financial Institutions ,
Financial Stimulus ,
Healthcare ,
JPMorgan Chase ,
Medicare ,
Medicare Advantage ,
Social Justice Issues ,
Telehealth
Sitting in the dark before 6 am in my Los Angeles house with my face lit up by yet another Zoom screen, wearing a stylish combination of sweatpants, dress shirt and last year’s JPM conference badge dangling around my neck for...more
1/12/2021
/ Affordable Care Act ,
CMMI ,
Coronavirus/COVID-19 ,
Electronic Protected Health Information (ePHI) ,
Healthcare ,
Home Health Care ,
Humana ,
Insurance Industry ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Moderna Inc. ,
Over The Counter Drugs (OTC) ,
Pfizer ,
Professional Conferences ,
Public Health Emergency ,
Teleconferences ,
Vaccinations ,
Value-Based Care ,
Walgreens
CMI, CMMI, and Changing the Consumer Experience in the U.S. and China -
Case Mix Index: Sitting in multiple hospital, payor and physician organization presentations at the J.P. Morgan healthcare conference this year, it is...more
1/17/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
China ,
CMMI ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Hospitals ,
Life Sciences ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Outpatient Services ,
Universities ,
Value-Based Care
The Big Cost; Cancer is the Answer; and SDOH Evolves -
The Big Cost: You’re okay today, and then tomorrow you’re not. Life has changed and there’s a new reality. Whether it’s an acute event – an accident, a heart attack, a...more
1/16/2020
/ Affordable Care Act ,
Affordable Housing ,
Cancer ,
Genetic Markers ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Innovation ,
Medicare ,
Outpatient Services ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Professional Conferences ,
Technology ,
Value-Based Care
If I printed a tee shirt for the 2020 J.P. Morgan Healthcare Conference, what would it say? In past years, it would have been “Big Data,” Analytics, Artificial Intelligence, ACA, Risk, Medicare Advantage or Quality. This...more
1/15/2020
/ Data Management ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Costs ,
Hospitals ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Patients ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Professional Conferences ,
Value-Based Care
San Francisco (January 11, 2018) – The final day of the 2018 JP Morgan Healthcare Conference gave us food for thought about the topic of healthcare navigation, as well as updates on the home health sector. Post-acute has...more
1/15/2018
/ Centers for Medicare & Medicaid Services (CMS) ,
Genesis HealthCare ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Healthcare Workers ,
Home Health Care ,
Hospitals ,
Humana ,
Joint Venture ,
JPMorgan Chase ,
Medicare ,
Mergers ,
Patients ,
Professional Conferences ,
Self-Insured Health Plans ,
Skilled Nursing Facility ,
Telehealth
San Francisco (Monday, January 8, 2018): Outside it was raining heavily today in San Francisco, but inside the 2018 JP Morgan Healthcare Conference the weather was distinctly sunny. Nary a hint of gloom or pessimism was heard...more
1/11/2018
/ Affordable Care Act ,
Artificial Intelligence ,
Catholic Church ,
Centers for Medicare & Medicaid Services (CMS) ,
Health Care Providers ,
Hospitals ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Professional Conferences ,
Stem cells
Some interesting presentations on the last day of the JPMorgan Healthcare Conference that concentrated on common themes – the increasing importance of ancillary business line to bolster core business revenue and of filling in...more
Day 3 of the JPMorgan healthcare conference was one of striking contrasts between the old and the new. (And, by the way, the rain finally stopped for a day, but it will be back tomorrow to finish off the last day of the...more
A large amount of wind, much discussion about the U.S healthcare, and the public getting soaked again – if you were thinking about Washington, DC and the new Congress, you’re 3,000 miles away from the action. This is the week...more
1/11/2017
/ Affordable Care Act ,
Ambulatory Surgery Centers ,
Employee Benefits ,
Employer Group Health Plans ,
Health Care Providers ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Patients ,
Professional Conferences ,
Repeal ,
Telehealth
The ancient Chinese curse – “May you live in interesting times” – certainly springs to mind these days. What does the election of Donald Trump mean for the healthcare industry, the Affordable Care Act and current healthcare...more
11/10/2016
/ ACOs ,
Affordable Care Act ,
Children's Health Insurance Program (CHIP) ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare Costs ,
Hospital Mergers ,
Hospitals ,
Industry Consolidation ,
Lobbying ,
Medicaid ,
Medicaid Expansion ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Physicians ,
Prescription Drug Coverage ,
Presidential Elections ,
Repeal ,
State Taxes ,
Subsidies ,
Telemedicine ,
Trump Administration
A new study by Stanford University researchers finds that Medicare Advantage plans pay lower prices than traditional fee-for-service (FFS) Medicare for most types of hospital admissions. According to the study—published...more
Medicare Part D’s Medication Therapy Management (MTM) program intends to optimize clinical benefits and avoid drug-related problems among eligible beneficiaries. MTM services—involving pharmaceutical and clinical...more
CMS recently released results of Medicare’s value-based payment modifier for 2015. This is the first year in which physicians are subject to adjustments under the payment system and, in this first phase of implementation,...more
Cancer care is notoriously complex, intensive and costly. With more than 1.6 million people diagnosed with cancer each year, there is a strong impetus towards reforming service delivery. Accordingly, the U.S. Department of...more
In mid-December, President Obama signed into law a $1.1 trillion spending bill known as the “Consolidated and Further Continuing Appropriations Act, 2015” or “Cromnibus.”[1] This post explores provisions that relate to the...more
A recent Senate Special Committee on Aging hearing focused on the impact of Medicare observation status, a hospital outpatient designation for which Medicare covers fewer services and generally reimburses for services at a...more
Politicians, researchers, and other stakeholders have long recognized the importance of a slowdown in health spending in the U.S. Optimistically, the nation’s health spending has experienced a record slow growth rate in...more
On July 7, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule updating Medicare’s Home Health Prospective Payment System payment rates for 2015....more
A review of Medicare Part B claims for evaluation and management (E/M) services conducted by the Office of the Inspector General (OIG) has found that the program paid $6.7 billion in improper payments in 2010. This figure...more
Last week, the Centers for Medicare and Medicaid Services (CMS) announced that Colorado is joining its Financial Alignment Initiative to pilot a managed fee-for-service model for people enrolled in both Medicare and Medicaid...more